Christopher Guttal

Results-driven Accounts Receivable Specialist with over 6 years of experience in US Healthcare operations, specializing in Accounts Receivable Management, Benefits Verification, Eligibility Checks, and Revenue Cycle Management (RCM). Recognized for strong analytical skills and a commitment to process improvement, driving higher claim acceptance and faster reimbursement cycles. Adept at cross-functional collaboration and delivering top-quality results within target-driven environments.

Senior Operation Analyst - Health Recon connect

(2023-10)

US Healthcare Collections

• Follow up on submitted claims, monitor unpaid claims, and identifies underpaid and non-billed claims with appropriate corrections and documentation
• Reviewing EOB/ERA denials and Patient history notes to understand and resolve denial on a claim
• Follow up with insurance carriers for the status of outstanding claims and receive payment information if the claims have been processed
• In case of rejections, analyze the claims
• Ensure deliverables adhere to quality standards and maintain adequate documentation on the client software to send the necessary documents to insurance companies and keep an audit trail for future reference
• Record post-call actions and perform a post-call analysis of the claim follow-up

Team Lead (Charge Scrubbing) - Wecare Healthcare Solutions

(2022-03 - 2023-09)

US Healthcare operations

• Overseeing daily Billing Department functions, including Charge Scrubbing, charge entry, reimbursement
• Responsible for supervising the team to work on assigned cases for professional and Institutional Claims
• Monitor Team's production and SLA delivery
• Keep a record of client KPIs and team's performance against the KPIs
• Experience in RCM large volume End-to-End Billing and Denial Management
• Knowledge of various billing systems / End-to-End Process flow / Accounts Receivable followup / Industry Benchmark on KPI / Productivity / Quality / HIPAA

AR Analyst - Founders Health

(2021-01 - 2022-02)

US Medical Billing

• Following up and resolving outstanding aged AR accounts using various research methods including phone calls to the payer and appeals through online insurance portals to maximize reimbursement
• Obtaining referrals and pre-authorizations as required for procedures
• Checking eligibility and benefits verification for treatments, hospitalizations, and procedures
• Analyzing and submitting appropriate documentation based on payer requirements

Accounts Receivable - Dafsons Health Care

(2019-05 - 2020-09)

US Medical Billing

• Following up on unpaid claims within standard billing cycle time frame
• Obtaining referrals and pre-authorizations as required for procedures
• Checking eligibility and benefits verification for treatments, hospitalizations, and procedures
• Researching and appealing denied claims

Process Executive - SKYCLIFF IT Pvt Ltd

(2017-09 - 2019-01)

US Medical Billing

• Checking eligibility and benefits verification for treatments and hospitalizations
• Answering all patient or insurance telephone inquiries pertaining to assigned accounts
• Reviewing accounts for insurance of patient follow-up
• Maintaining insurance authorizations for new and current patients

Admin Assistant - Adecco

(2014-07 - 2017-06)

The Hindu - India's National Newspaper

• Overseeing administration activities including office facilities
• Establishing and maintaining files & records for the office
• Coordinating with the clients to answer all the queries and ensure complete customer satisfaction

Customer Service Executive - First Source Pvt Ltd

(2011-08 - 2013-09)

• Handling incoming calls from customer
• Assisting customers effectively by solving customer disputes
• Handling customer inquiries, complaints, billing questions and Service requests
• Offered new services based on the needs of the customer

Secondary Education - Seventh Day Adventist High School Hubli

Higher secondary - Board of Higher Secondary Education

B.COM - Commerce - Chhatrapati Sahu ji Maharaj University Kanpur